Knowledge, Attitudes, and Beliefs Regarding Cardiovascular Disease in Women
Open accessAbstract
Background Cardiovascular disease (CVD) is the number 1 killer of women in the United States, yet few younger women are aware of this fact. CVD campaigns focus little attention on physicians and their roles in assessing risk.Objectives In 2014, the Women's Heart Alliance (WHA) conducted a nationwide survey to determine barriers and opportunities for women and physicians with regard to CVD.Methods From September 18 to 26, 2014, a total of 1,011 U.S. women (age 25 to 60 years) were interviewed using the GfK ("Gesellschaft für Konsumforschung" Knowledge Panel). From May 6 to 12, 2014, the e-Rewards Inc. Physician and Healthcare Professional Panel surveyed 200 primary care physicians (PCPs) and 100 cardiologists.Results Overall, 45% of women were unaware that CVD is the number 1 killer of women; only 11% knew a woman who died from CVD. Overall, 45% of women reported it was common to cancel or postpone a physician appointment until losing weight. CVD was rated as the top concern by only 39% of PCPs, after weight and breast health. Only 22% of PCPs and 42% of cardiologists (p = 0.0477) felt extremely well prepared to assess CVD risk in women, while 42% and 40% felt well-prepared (p = NS), respectively. Few comprehensively implemented guidelines.Conclusions CVD was rated as the top concern less frequently than weight issues by both women and physicians. Social stigma particularly regarding body weight appeared to be a barrier. Physicians reported limited training and use of guideline assessment, whereas most supported a campaign and improved physician education. Campaigns should make CVD "real" to U.S. women, countering stereotypes with facts and validated assessments. Both community women and physicians endorsed investment in women's CVD research and physician education.
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CVD risk in young women is under-perceived by both medical personnel and the women themselves.
“CVD risk in young women is under-perceived by both medical personnel and the women themselves.”
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- Authors
- Bairey Merz, C. N., Andersen, H., Sprague, E., Burns, A., Keida, M., Walsh, M. N., Greenberger, P., Campbell, S., Pollin, I., McCullough, C., Brown, N., Jenkins, M., Redberg, R., Johnson, P., & Robinson, B.
- Affiliations
- NewYork–Presbyterian Hospital (US)
- St Vincent Hospital (US)
- Society for Women's Health Research (US)
- WomenHeart (US)
- Association of Black Cardiologists (US)
- American Heart Association (US)
- United States Food and Drug Administration (US)
- University of California, San Francisco (US)
- Wellesley College (US)
- Venue
- Journal of the American College of Cardiology
- Publisher
- Elsevier BV
- Published
- 2017-07
- Volume
- 70
- Issue
- 2
- Pages
- 123-132
- ISSN
- 0735-1097 (ISSN-L)
- OpenAlex
- W2713483183
- Cited by
- 267
- References
- 19
- Citations by year
- 2026: 19 · 2025: 34 · 2024: 41 · 2023: 28 · 2022: 39 · 2021: 35 · 2020: 20 · 2019: 20 · 2018: 25 · 2017: 6
- FWCI
- 18.23
- Type
- journal article
- Language
- en
- Update notices
- erratum (2017-08-22)
- Open access
- bronze
- doi.org
- Licence
- Locations
- Journal of the American College of Cardiology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Health Promotion and Cardiovascular Prevention
- Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Sex and Gender in Healthcare
- Health Sciences › Medicine › Cardiology and Cardiovascular Medicine › Cardiovascular Health and Risk Factors
- Keywords
- cardiovascular disease in women, women's cardiovascular health, cardiovascular risk assessment, physician preparedness, primary care physicians, cardiologists, health knowledge awareness, weight stigma, physician training
- MeSH terms
- Adult, Attitude of Health Personnel, Cardiology, Cardiovascular Diseases, Female, Humans, Health Knowledge, Attitudes, Practice, Middle Aged, Morbidity, Patient Education as Topic, Surveys and Questionnaires, Retrospective Studies, Risk Factors, United States, Women's Health, Guideline Adherence
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